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Document Details : Title: Ictal asystole: case report with review of literature Author(s): T. Marynissen , N. Govers , T. Vydt Journal: Acta Cardiologica Volume: 67 Issue: 4 Date: 2012 Pages: 461-464 DOI: 10.2143/AC.67.4.2170689 Abstract : Cardiac arrhythmias are frequently observed during epileptic seizures. Mostly they are benign, but severe bradycardia and asystole occur in 0.27 - 0.5% of patients who have seizures on video-EEG monitoring units. Especially patients with partial seizures involving the insular, orbital frontal and anterior temporal lobe regions, are at risk. Ictal bradycardia could be a cause of SUDEP (sudden unexpected death in epilepsy) and pacemaker insertion might therefore improve survival in selected cases, although more research is needed to prove this. We present a case of prolonged ictal asystole in a patient with newly diagnosed partial epilepsy originating from the temporal lobe. |
